Thomas James Mateljan

NPI #1457597114 in Racine, Wisconsin

Provider Information

NPI Number: 1457597114
Entity Type: Individual
Name: Thomas James Mateljan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Dec 31, 2008
Last Updated: Dec 31, 2008

Practice Location

Address: 6936 WILLOWBROOK RD
City: Racine
State: Wisconsin
ZIP Code: 53402-1464
Phone: (262) 664-5727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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